Anatomic considerations for plate-screw fixation of the cervical spine.

Abstract:

:A cadaveric study was done to investigate the variability of interfacet distances from C3 to C7, to learn pedicle morphology at C7-T2, and to determine potential dangers of plate-screw osteosynthesis technique of the cervical spine. Twenty-two cadavers were dissected from C2 to C7 to expose the lateral masses and nerve roots. The interfacet distances from the center of the lateral mass to the next lateral mass from C3 to C7 vary widely among different individuals, ranging from 9 mm to 16 (average, 13 mm). A new plate design is necessary to better accommodate the differences in interfacet distances among different patients and different levels. The second part of the study involved 11 dissected cadaveric specimens of the cervicothoracic junction. The pedicle entry point was 1 mm inferior to the midportion of the facet joint for C7, T1, and T2. The medial angulation averaged 34 degrees at C7, 31.8 degrees at T1, and 26.5 degrees at T2. The mediolateral and superoinferior outer pedicle diameters were 6.9 mm and 7.5 mm at C7, 8.5 mm and 9.5 mm at T1, and 7.5 mm and 10.7 mm at T2, respectively. The mediolateral inner diameter averaged 5.18 mm, 6.4 mm, 5.5 mm for C7, T1 and T2, respectively. The pedicle distances (from the entry point to the posterior vertebral body line) measured 9.1 mm, 9.9 mm, and 10.4 mm for respective levels. The margins for error are small when using pedicle screws at these levels. If a pedicle screw must be used at C7, T1, and T2, one must have precise knowledge of the entrance point, diameters, and 25-30 degrees medial direction.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

An HS,Gordin R,Renner K

doi

10.1097/00007632-199110001-00019

subject

Has Abstract

pub_date

1991-10-01 00:00:00

pages

S548-51

issue

10 Suppl

eissn

0362-2436

issn

1528-1159

journal_volume

16

pub_type

杂志文章

相关文献

SPINE文献大全
  • The role of directly applied hypothermia in spinal cord injury.

    abstract:STUDY DESIGN:The effect of intense local hypothermia was evaluated in a precision model of spinal canal narrowing and spinal cord injury in rats. The spinal cord injury was cooled with a custom cooling well used over the epidural surface. Basso, Beattie, and Bresnahan (BBB) motor scores and transcranial magnetic motor-...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200009150-00006

    authors: Dimar JR 2nd,Shields CB,Zhang YP,Burke DA,Raque GH,Glassman SD

    更新日期:2000-09-15 00:00:00

  • Correlation of scoliosis curve correction with the number and type of fixation anchors.

    abstract:STUDY DESIGN:Clinical and radiologic assessment derived from a prospective multicenter data base of adolescent idiopathic scoliosis (AIS) patients. OBJECTIVE:We investigated if "implant density" or the number of screws correlated with the major curve (thoracic or lumbar) correction at 2 years in patients with AIS. We ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181adb35d

    authors: Clements DH,Betz RR,Newton PO,Rohmiller M,Marks MC,Bastrom T

    更新日期:2009-09-15 00:00:00

  • 30-Day Recurrence, Readmission Rate, and Clinical Outcome After Emergency Lumbar Discectomy.

    abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:To investigate the 30-day recurrence rate after emergency lumbar discectomy. Secondary aims were to investigate the factors affecting the 30-day recurrence and readmission rates and clinical outcome. SUMMARY OF BACKGROUND DATA:Excluding cauda equine syndrome (CES) ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003519

    authors: Reito A,Kyrölä K,Pekkanen L,Paloneva J

    更新日期:2020-09-15 00:00:00

  • Transarticular screw fixation for atlanto-occipital dislocation.

    abstract:STUDY DESIGN:A case report of traumatic atlanto-occipital dislocation managed by transarticular screw fixation. OBJECTIVES:To present a case with initial failed wire fixation but successful reduction and fixation with transarticular screw fixation and occipitocervical plate stabilization. SUMMARY OF BACKGROUND DATA:A...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200103150-00030

    authors: Grob D

    更新日期:2001-03-15 00:00:00

  • Posterior instrumentation of the spine. An experimental comparison of various possible techniques.

    abstract::Fourteen variations of posterior instrumentation were tested experimentally, using models based on polyester imitation vertebrae, to determine the most effective method for stabilization of a section of the spine following fracture and, in particular, pathologic fracture. The most rigid construction was a well-fitting...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198605000-00014

    authors: Fidler MW

    更新日期:1986-05-01 00:00:00

  • Reduction of severe spondylolisthesis. A preliminary report.

    abstract::This report describes the development of a technique for reduction and fusion of spondylolisthesis that includes posterior mobilization with alartransverse fusion, halo-femoral traction with the patient in some extension, and finally, anterior interbody fusion of the lumbosacral joint. The report emphasizes the techni...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-197909000-00007

    authors: McPhee IB,O'Brien JP

    更新日期:1979-09-01 00:00:00

  • The effect of fear of movement beliefs on pain and disability after surgery for lumbar and cervical degenerative conditions.

    abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To examine differences between preoperative and postoperative fear of movement and investigate the relationship between fear of movement and pain, disability and physical health after spinal surgery for degenerative conditions. SUMMARY OF BACKGROUND DATA:Consistent evi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181f8c6f4

    authors: Archer KR,Wegener ST,Seebach C,Song Y,Skolasky RL,Thornton C,Khanna AJ,Riley LH 3rd

    更新日期:2011-09-01 00:00:00

  • The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial.

    abstract:STUDY DESIGN:A randomized controlled trial with stratified block design. OBJECTIVES:To evaluate a treatment program focusing on whether specific stabilizing exercises for patients with pelvic girdle pain after pregnancy reduce pain, improve functional status, and improve quality of life. SUMMARY OF BACKGROUND DATA. : ...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.brs.0000090827.16926.1d

    authors: Stuge B,Laerum E,Kirkesola G,Vøllestad N

    更新日期:2004-02-15 00:00:00

  • 2000 Young Investigator Research Award winner. Evaluation of OP-1 as a graft substitute for intertransverse process lumbar fusion.

    abstract:STUDY DESIGN:An established rabbit intertransverse process lumbar fusion model was used to evaluate osteogenic protein (OP)-1 as a potential graft substitute. OBJECTIVES:To determine whether OP-1 is effective in producing intertransverse process lumbar fusion in a rabbit model. SUMMARY OF BACKGROUND DATA:Autogenous i...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200101150-00004

    authors: Grauer JN,Patel TC,Erulkar JS,Troiano NW,Panjabi MM,Friedlaender GE

    更新日期:2001-01-15 00:00:00

  • Symptomatic spinal arachnoid cysts: report of two cases with review of the literature.

    abstract:STUDY DESIGN:Two unusual cases of intradural extramedullary noncommunicating arachnoid cysts are presented, with a review of literature. OBJECTIVE:To assess surgical excision results in the reversal of symptoms and neurologic deficits. SUMMARY OF BACKGROUND DATA:Most patients harboring arachnoid cysts are asymptomati...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-200301150-00019

    authors: Kumar K,Malik S,Schulte PA

    更新日期:2003-01-15 00:00:00

  • Upper extremity palsy following cervical decompression surgery results from a transient spinal cord lesion.

    abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:To test the hypothesis that spinal cord lesions cause postoperative upper extremity palsy. SUMMARY OF BACKGROUND DATA:Postoperative paresis, so-called C5 palsy, of the upper extremities is a common complication of cervical surgery. Although there are several hypotheses r...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.brs.0000257576.84646.49

    authors: Hasegawa K,Homma T,Chiba Y

    更新日期:2007-03-15 00:00:00

  • Pretension effects of the Dynesys cord on the tissue responses and screw-spacer behaviors of the lumbosacral construct with hybrid fixation.

    abstract:STUDY DESIGN:The pretension of the Dynesys cord was varied to evaluate its effects on both tissue responses and screw-spacer behaviors by the finite-element method. OBJECTIVE:This study aimed to provide detailed information about the motion-preserving and load-shielding mechanisms of the Dynesys screw-spacer joint. S...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318290fb2e

    authors: Chien CY,Tan CH,Lu TH,Lin SC,Chuang WH,Chiang MC,Luh YP,Chen YJ

    更新日期:2013-06-01 00:00:00

  • Accuracy and interobserver agreement for determinations of rabbit posterolateral spinal fusion.

    abstract:STUDY DESIGN:The accuracy and interobserver agreement of fine detail radiography and computed tomography (CT) determination of spinal fusion were evaluated in an established animal spine fusion model. OBJECTIVE:To determine the accuracy and interobserver agreement of radiographic determinations of spinal fusion in rab...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000127184.43765.61

    authors: Yee AJ,Bae HW,Friess D,Robbin M,Johnstone B,Yoo JU

    更新日期:2004-06-15 00:00:00

  • Lumbar spinal disorders in patients with athetoid cerebral palsy: a clinical and biomechanical study.

    abstract:STUDY DESIGN:Radiologic study for patients with athetoid cerebral palsy (CP), and a biomechanical study using the finite-element model (FEM). OBJECTIVES:To understand the lumbar disorders of athetoid CP patients and the etiology based on the results from the FEM study. SUMMARY OF BACKGROUND DATA:Cervical spondylotic ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000197650.77751.80

    authors: Sakai T,Yamada H,Nakamura T,Nanamori K,Kawasaki Y,Hanaoka N,Nakamura E,Uchida K,Goel VK,Vishnubhotla L,Sairyo K

    更新日期:2006-02-01 00:00:00

  • Noninvasive measurement of cervical tri-planar motion in normal subjects.

    abstract::An electronic digital inclinometer was used to obtain normative data on cervical mobility from 58 normal subjects. They consisted of 28 males (age range, 17-61) and 30 females (age range, 19-62). The measurements were taken from occiput to T1 in flexion-extension, lateral bend, and axial rotation, isolating the region...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199311000-00007

    authors: Mayer T,Brady S,Bovasso E,Pope P,Gatchel RJ

    更新日期:1993-11-01 00:00:00

  • Posterior segmental spinal instrumentation (PSSI) with posterolateral decompression and debulking for metastatic thoracic and lumbar spine disease. Limitations of the technique.

    abstract::Twenty-five patients with metastatic thoracic and lumbar spine disease were initially treated by the authors with posterolateral debridement and decompression, along with posterior segmental spinal instrumentation. Ten patients had marked paresis, nine had signs of spinal cord or cauda equina compression without pares...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198812000-00010

    authors: Bridwell KH,Jenny AB,Saul T,Rich KM,Grubb RL

    更新日期:1988-12-01 00:00:00

  • The Effect of Axial Torsion on the Mechanical Properties of the Annulus Fibrosus.

    abstract:STUDY DESIGN:In-vitro study of the tissue mechanics of annulus fibrosus. OBJECTIVE:To determine the effect of axial torsion on the mechanical properties of the inter- and intralamellar matrices. SUMMARY OF BACKGROUND DATA:Axial torsion, when combined with repetitive flexion, has been associated with an increased risk...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002803

    authors: Harvey-Burgess M,Gregory DE

    更新日期:2019-02-15 00:00:00

  • Studies in the modified Scoliosis Research Society Outcomes Instrument in adults: validation, reliability, and discriminatory capacity.

    abstract:STUDY DESIGN:Observational study of patients with scoliosis and matched controls. OBJECTIVES:To determine the validity and reliability of the modified Scoliosis Research Society Outcomes Instrument (SRS-22) for use in the assessment of deformity in adults. To demonstrate the discriminate validity of the SRS-22 in diff...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000084666.53553.D6

    authors: Berven S,Deviren V,Demir-Deviren S,Hu SS,Bradford DS

    更新日期:2003-09-15 00:00:00

  • Osteoid osteoma of the mobile spine: surgical outcomes in 81 patients.

    abstract:STUDY DESIGN:A restrospective review of 81 cases of osteoid osteoma of the mobile spine submitted to surgical treatment. OBJECTIVE:Analyze pro and contras of different techniques (conventional and minimally invasive) for the treatment of osteoid osteoma. SUMMARY OF BACKGROUND DATA:Intralesional excision has been cons...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181ffeb5e

    authors: Gasbarrini A,Cappuccio M,Bandiera S,Amendola L,van Urk P,Boriani S

    更新日期:2011-11-15 00:00:00

  • The adeno associated viral vector as a strategy for intradiscal gene transfer in immune competent and pre-exposed rabbits.

    abstract:STUDY DESIGN:Experimental animal study. OBJECTIVES:This study evaluates the in vitro and in vivo transduction efficacy and transgene expression in immune competent and pre-exposed rabbits. SUMMARY OF BACKGROUND DATA:Degenerative disc disease (DDD) continues to pose a substantial clinical problem. Therapeutic options ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000154764.62072.44

    authors: Lattermann C,Oxner WM,Xiao X,Li J,Gilbertson LG,Robbins PD,Kang JD

    更新日期:2005-03-01 00:00:00

  • Augment bone graft products compare favorably with autologous bone graft in an ovine model of lumbar interbody spine fusion.

    abstract:STUDY DESIGN:This study was designed to determine whether Augment Bone Graft (Augment, Biomimetic Therapeutics, Inc., Franklin, TN) and Augment Injectable Bone Graft (Augment Injectable, Biomimetic Therapeutics, Inc., Franklin, TN), 2 combination devices comprising recombinant human platelet-derived growth factor-BB an...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31823b01dc

    authors: Solchaga LA,Hee CK,Aguiar DJ,Ratliff J,Turner AS,Seim HB 3rd,Hollinger JO,Snel LB,Lynch SE

    更新日期:2012-04-15 00:00:00

  • Ultrasound and nerve stimulation-guided L5 nerve root block.

    abstract:STUDY DESIGN:Case series. OBJECTIVE:Evaluation of ultrasound and nerve stimulation-guided L5 nerve root block technique. SUMMARY OF BACKGROUND DATA:Ultrasound-guided peripheral nerve block has become clinically applied. However, selective lumbosacral nerve root block is conducted under radiographic guidance, which in...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181b43c62

    authors: Sato M,Simizu S,Kadota R,Takahasi H

    更新日期:2009-11-15 00:00:00

  • Preoperative and Postoperative Sitting Radiographs for Adult Spinal Deformity Surgery: Upper Instrumented Vertebra Selection Using Sitting C2 Plumb Line Distance to Prevent Proximal Junctional Kyphosis.

    abstract:STUDY DESIGN:Case-control study from a continuous series. OBJECTIVES:To study the impact of perioperative sitting radiographs in adult spinal deformity (ASD) patients and determine whether proximal junctional kyphosis (PJK) can be prevented using preoperative sitting radiograph. SUMMARY OF BACKGROUND DATA:Radiographi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003452

    authors: Yoshida G,Ushirozako H,Hasegawa T,Yamato Y,Kobayashi S,Yasuda T,Banno T,Arima H,Oe S,Mihara Y,Ide K,Watanabe Y,Yamada T,Togawa D,Matsuyama Y

    更新日期:2020-08-01 00:00:00

  • Disparities in rates of spine surgery for degenerative spine disease between HIV-infected and uninfected veterans.

    abstract:STUDY DESIGN:Retrospective analysis of nationwide Veterans Health Administration clinical and administrative data. OBJECTIVE:Examine the association between HIV infection and the rate of spine surgery for degenerative spine disease. SUMMARY OF BACKGROUND DATA:Combination antiretroviral therapy has prolonged survival ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318228f32d

    authors: King JT Jr,Gordon AJ,Perkal MF,Crystal S,Rosenthal RA,Rodriguez-Barradas MC,Butt AA,Gibert CL,Rimland D,Simberkoff MS,Justice AC

    更新日期:2012-04-01 00:00:00

  • National Trends in Ambulatory Surgery for Intervertebral Disc Disorders and Spinal Stenosis: A 12-Year Analysis of the National Surveys of Ambulatory Surgery.

    abstract:STUDY DESIGN:A descriptive epidemiology study. OBJECTIVE:The aim of this study is to investigate changes in the utilization of ambulatory surgical procedures performed for intervertebral disc disorders and spinal stenosis between 1994 and 2006 in the United States. SUMMARY OF BACKGROUND DATA:Understanding trends in t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001109

    authors: Best MJ,Buller LT,Eismont FJ

    更新日期:2015-11-01 00:00:00

  • CT scanning of lumbar discography. A useful diagnostic adjunct.

    abstract::Twenty-two patients with continued, undiagnosed symptoms of low back and sciatic pain for an average of 14 months were assessed. Patients studied had prior negative evaluations, including EMG, CT scanning, and/or metrizamide myelography. Three-level, posterolateral, extradural discography was performed on the side opp...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198604000-00013

    authors: McCutcheon ME,Thompson WC 3rd

    更新日期:1986-04-01 00:00:00

  • Influence of screw positioning in a new anterior spine fixator on implant loosening in osteoporotic vertebrae.

    abstract:STUDY DESIGN:A biomechanical study was designed to assess implant cut-out of three different angular stable anterior spinal implants. Subsidence of the implant relative to the vertebral body was measured during an in vitro cyclic loading test. OBJECTIVES:The objective of the study was to evaluate two prototypes (Synth...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000199894.63450.70

    authors: Reinhold M,Schwieger K,Goldhahn J,Linke B,Knop C,Blauth M

    更新日期:2006-02-15 00:00:00

  • Multimodal Pain Management and Postoperative Outcomes in Lumbar Spine Fusion Surgery: A Population-based Cohort Study.

    abstract:STUDY DESIGN:Retrospective population-based cohort analysis. OBJECTIVE:Given the lack of large-scale data on the use and efficacy of multimodal analgesia in spine fusion surgery, we conducted a population-based analysis utilizing the nationwide claims-based Premier Healthcare database. SUMMARY OF BACKGROUND DATA:Mult...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003320

    authors: Cozowicz C,Bekeris J,Poeran J,Zubizarreta N,Schwenk E,Girardi F,Memtsoudis SG

    更新日期:2020-05-01 00:00:00

  • Effect of the decompressive extent on the magnitude of the spinal cord shift after expansive open-door laminoplasty.

    abstract:STUDY DESIGN:A retrospective study to analyze the effect of decompressive extent on the posterior shift of spinal cord after expansive open-door laminoplasty (ELAP). OBJECTIVE:To investigate the effect of decompressive extent on cord shift distance after ELAP, and determine the morphologic limitations of posterior app...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e3181e80507

    authors: Kong Q,Zhang L,Liu L,Li T,Gong Q,Zeng J,Song Y,Liu H,Wang S,Sun Y,Zhang F,Li M,Chen Z

    更新日期:2011-06-01 00:00:00

  • Three-dimensional rotational X-ray navigation for needle guidance in percutaneous vertebroplasty: an accuracy study.

    abstract:STUDY DESIGN:The position of a needle tip displayed on a navigation system after transpedicular introduction into a vertebral body is compared with the real position of the needle tip when using a direct navigation coupling between a three-dimensional rotational X-ray (3DRX) system and a navigation system. OBJECTIVES:...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000218580.54036.1b

    authors: van de Kraats EB,van Walsum T,Verlaan JJ,Voormolen MH,Mali WP,Niessen WJ

    更新日期:2006-05-20 00:00:00